Individual provider Active NPI

Maria Pero, LPN

  • Licensed Practical Nurse
  • Phoenix, AZ
National Provider Identifier
1376251660
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0002097777 Issued in VA
Practice address
522 N Central Ave Ste 831
Phoenix, AZ 85004-2185
Phone
(276) 206-9395
Fax
(602) 774-4537
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002097777 VA Primary

Addresses

Primary practice location

522 N Central Ave Ste 831
Phoenix, AZ 85004-2185

Mailing address

2437 W Peggy Dr
Queen Creek, AZ 85142-6684
Phone (276) 206-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0002097777VAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kimble Foot Specialist, P.L.L.C. CurrentSince Nov 13, 2022 Accepting new patients

Locations

522 N Central Ave
Ste 831
Phoenix, AZ 85004
Phone (276) 206-9395

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1376251660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 W PEGGY DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426684",
            "telephone_number": "276-206-9395",
            "fax_number": "602-774-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CENTRAL AVE STE 831",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042185",
            "telephone_number": "276-206-9395",
            "fax_number": "602-774-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERO",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002097777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.